People have been urged to “drink responsibly” by NHS England’s medical director to avoid ending up in A&E as ambulance workers prepare to strike.
Professor Sir Stephen Powis issued the warning ahead of the planned action on Wednesday, when the health service is likely to be hit by major disruption as ambulance workers, including paramedics, control room workers and technicians, walk out in England and Wales.
Health secretary Steve Barclay has said the British public’s “common sense” should be trusted on what is safe during the industrial action.
But issuing the latest NHS guidance, Sir Stephen said: “There is no doubt that the NHS is facing extreme pressure and industrial action will add to the already record demand we are seeing on urgent and emergency care, and so it is really important that the public play their part by using services wisely.
“People can also help by taking sensible steps to keep themselves and others safe during this period and not ending up in A&E – whether that is drinking responsibly or checking up on a family member of neighbour who may be particularly vulnerable to make sure they are okay.”
Ministers and NHS leaders have said people can still call 999 for emergencies – but should take extra steps to keep themselves and others safe while there is so much pressure on health services.
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Asked if people should be more cautious during strikes this week, Mr Barclay said: “We should trust the common sense of the British public.
“They can see that there will be pressures, particularly on ambulances.”
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Following a meeting between the health secretary and union bosses on Tuesday afternoon, a Unite spokesman said it was “pointless” as Mr Barclay “refused to discuss pay”.
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‘Door is open’ to unions, says health minister
Onay Kasab, Unite’s national lead officer who was at the meeting, said: “It is disgraceful that the government is failing to take action to avoid NHS strikes, the unions are willing to talk but the government isn’t.
“Barclay was only prepared to talk about derogations, which was futile as these have been thrashed out and agreed down to a fine tooth-comb at a local level.
“His appeal that the agreements on emergency cover are respected was frankly insulting. Our members are taking strike action as an absolute last resort as they witness the NHS crumble on a daily basis. Not only are they committed to covering emergency calls tomorrow, but our members will immediately leave picket lines if a trust for any reason can’t cope with emergencies.”
Nurses with the Royal College of Nursing (RCN) union are striking today and ambulance workers are walking out on Wednesday over a dispute on pay and working conditions.
On Tuesday morning, health minister Will Quince said the public should avoid “risky activity” during the ambulance strike as he urged people to alter their plans to minimise the danger of injuring themselves.
Unions have said ambulance workers will still attend Category 1 (most life-threatening such as cardiac arrest) and Category 2 (serious conditions, such as stroke or chest pain) calls during the strike.
However, ministers said there were still questions over whether ambulance workers at every NHS trust striking were going to do that.
Mr Barclay added: “They’ve said that they will provide life-threatening cover, that they will provide emergency cover.
“It’s essential that they do so to protect patients, because if there’s delays in ambulances, obviously that impacts very seriously on patient safety.
“But of course, the British public will make sensible decisions in terms of their behaviour based on what they can see in terms of the pressures on the health system.”
He added that if it was “extremely icy, you might not go for a run”.
The prime minister’s spokesman said he was “not going to get into a list” of what “risky activities” people should avoid during the ambulance strike.
By lunchtime on Tuesday, several ambulance and hospital trusts across the country had declared critical incidents due to “sustained” and “unprecedented” pressure on services, including high 999 call volumes and hospital handover delays.
Epping Council has been denied the chance to appeal a ruling to the Supreme Court over asylum seekers being housed at the Bell Hotel.
The Essex hotel has become the focal point of protests, and counter-protests, in recent weeks after an asylum seeker staying there was charged with sexually assaulting a teenager. He denies the allegation.
Epping Forest District Council was last month granted a temporary injunction to stop asylum seekers from being housed at the accommodation – but this was overturned on Friday after legal challenges from the Home Office and the hotel’s owner, Somani Hotels.
The council has now said “no reasons were given” after its application for permission to appeal the most recent judgment was denied.
Image: Protesters at an anti-immigration demonstration in Epping in August. File pic: Reuters
A statement on its website said: “It is now open for the council to ask the Supreme Court itself for permission to appeal against the judgment of the Court of Appeal.
“The council has consistently opposed the use of The Bell Hotel to place asylum-seekers, which is in breach of planning control and is against the interests of those living in, working in and using the area.”
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Council leader Chris Whitbread said in a statement that Tuesday’s decision was “wrong” and accused the Court of Appeal judges of putting “the secretary of state’s duties towards asylum seekers above those of the council to uphold the planning system”.
Adding that “this is not the end of the matter”, Mr Whitbread said: “We consider we have a strong case for a final injunction.
“The final injunction hearing is expected to be heard some time in early October.
“The council is keeping all our options open, including seeking permission from the Supreme Court to appeal against the judgment of the Court of Appeal.”
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On Friday: Asylum seekers to remain at Bell Hotel
Mr Whitbread also appealed to protesters to act “considerately and calmly” should they continue with regular demonstrations as schools return.
Multiple protests have been held outside the Bell Hotel since mid-July, when Hadush Gerberslasie Kebatu was charged with the alleged sexual assault of a 14-year-old girl.
His trial began last week and is due to conclude later this week.
Kebatu, 38, denies two counts of sexual assault, one count of attempted sexual assault, one count of inciting a girl to engage in sexual activity, and one count of harassment without violence.
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Living side by side: investigating Britain’s small-town migrant crisis
Two charged over Bell Hotel protests
Earlier on Tuesday, a man and a woman were charged over their part in demonstrations at the lodgings on Sunday.
Essex Police said Sarah White, 40, of Chigwell, and Scott Davey, 32, of nearby Nazeing, were arrested on suspicion of breaching a Section 14 order, which was put in place by police to designate where people could assemble.
A 22-year-old man from Epping was arrested on suspicion of inciting racial hatred and racially or religiously aggravated criminal damage, over allegations that a banner was set alight on Friday, the force said.
There are 1,210 completed homes which cannot be occupied because of delays in the work of the government’s building safety regulator, Sky News can reveal.
The safety inspection regime created in the wake of the Grenfell tragedy, which claimed 72 lives, is “not fit for purpose”, according to those who depend on its work.
Sky News has visited an empty block of 99 flats in west London where future residents – who have purchased the properties – have been unable to move in for over a year because of the lack of regulator approval.
New data obtained exclusively by Sky News through a Freedom of Information request shows the extent of the issue.
Image: An empty block of 99 flats in Acton, west London
As of 1 August, there is “no decision” on eight applications covering 1,210 completed new residential units. For sites yet to be built, there are 156 applications with no decision, covering 34,965 new residential units.
Sir Keir Starmer says economic growth is his top priority and the 1.5 million new homes target this parliament is a key part of this agenda. But two years after its creation, the government agency has come under fire for failing to fulfil vital functions in a timely manner.
After complaints, the regulator has already faced one overhaul, and will shortly move from part of the Health and Safety Executive (HSE) to become an arm’s length body which is part of Angela Rayner’s Ministry of Housing, Communities and Local Government. But developers say they are still struggling to get answers from the body.
Image: Sir Keir Starmer has made new homes a major priority. Pic: Jack Taylor/PA
Sky News has conducted an analysis of public data and found the backlog growing.
New buildings ought to be signed off within a 12-week period, but Sky News found the percentage of applications determined inside that window is falling – from 47% at the end of September last year, to 32% by the end of March.
In a statement, leading financial analyst S&P said delays by the regulator are pushing up building costs and making it harder to deliver the key government target.
Chris Williamson, chief business economist at S&P, said: “We have received anecdotal feedback from a few companies regarding the Building Safety Act, indicating that some may be experiencing challenges related to orders. This could contribute to an increase in costs within the construction sector, which is already facing financial pressures.”
In an apparent admission of the issues, the government told Sky News it is now in the process of recruiting over 100 new staff to strengthen capacity by the end of the year.
In a statement to Sky News, the building safety regulator (BSR) itself said it had been a complex task creating a new safety body post Grenfell, in such a short time, and improvements are already being made.
It said: “BSR is working closely with industry to deliver safer, higher-quality buildings while advancing a culture of excellence in building safety.”
Executives from the BSR will appear before a Commons Select Committee later today. It also points the finger at property developers for failing to submit paperwork correctly. The industry vehemently rejects the claim, saying there are few guidelines of what to submit and the BSR makes little attempt to clarify what it wants.
A bad sign
However, problems persist.
Sky News saw how in one newly built property in Acton, west London, the sign-off for a building by the BSR was delayed in part because a sign was two millimetres too small and all the signs had to be changed.
This has contributed to a 14-month delay in a green light for residents to move in.
According to the Federation of Master Builders and the Chartered Institute of Building, 38% of developers believe planning delays are the number one issue.
Developers have told Sky News the agency was meant to speed up approvals by ending a system where they have to bring in external consultants to approve the application, but this has not yet happened.
Jon Spring, the managing director of Fairview Homes, said: “We currently have three applications that are delayed within the BSR. The current dates we’re looking at, that they’ve given us, one is six months, one is nine months, and one is 12 months. Clearly extremely different to the original three months that the process is supposed to take.
“That makes forecasting for when we’re going to start on site very difficult. We have tens of millions of pounds tied up in the three sites that we’re waiting to develop. And inevitably, the holding costs of those are considerable and affect the viability of the project.”
Image: Jon Spring, managing director of Fairview Homes
Mr Spring said the delays could make building unviable.
“If you look at each of our projects have been delayed, if […] it’s going to take 25% longer to deliver that project, that means that our productivity is ultimately reduced by 25%. That would be the same for all developers and therefore the reduction in housing that’s been delivered will be considerable.”
Developers ‘won’t touch’ high-rises
Jamie Lester, an estate agent from Haus Properties, said: “The government are encouraging property developers to build, build, build, and just get on with it – I think that’s what Keir Starmer said.
“But when there are buildings like this that can’t be signed off for over a year and are costing property developers, in this instance, £100,000 a week, I don’t understand.
“The government won’t encourage property developers to build like this any more. I know many property developers who won’t touch high-rise buildings at the moment simply because the building safety regulator can’t get their act together and sign these buildings off.”
Image: Jamie Lester, estate agent from Haus Properties
‘High standards’
A spokesperson for the HSE said: “Protecting residents, making sure there is never another tragedy like Grenfell, has been our priority throughout this process. Setting up a new regulator has been complex, and huge progress has been made in a short time. The construction industry must meet standards that will keep residents safe in high-rise buildings.
“The recently announced innovation unit is the result of ongoing discussions between industry and BSR to uphold high standards. BSR is working closely with industry to deliver safer, higher-quality buildings while advancing a culture of excellence in building safety.”
‘It has turned out to be a disaster’
Some have blamed the government, not the regulator itself. The boss of one major house building company, who did not want to be named, said ministers aren’t willing to face up to reality.
“Regulation comes from the government and the regulator is implementing the rules,” they said. “Their mandate is nothing to do with housing supply so it’s up to ministers to balance that. All the house builders said this would be a disaster and funnily enough it has turned out to be a disaster.”
A government spokesman from the housing department said problems were already being tackled and safety was important: “We’ve announced a package of reforms to reduce delays, including a fast track process to speed up new build decisions.”
Facing criticism for being on the back foot after a summer of protest outside asylum hotels, they were keen to defend their record and get back on track – but is it too late?
It’s a clear nod to the political void Reform UK has seized on while the prime minister has been on holiday.
Last week, Nigel Farage unveiled his party’s mass deportation policy – though the issue of women and children still seems to be worked out.
But perhaps none of that matters as voters overwhelmingly believe Reform cares about this issue – and as Chris Philp, the shadow home secretary, pointed out on Monday, voters have lost confidence in the government somewhat to solve what many see as an immigration crisis on their doorstep.
So it’s clear the strategy has changed from the government.
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‘Substantial reforms are needed now’
Gone are the bold slogans of “smashing the gangs” and instead, detail and policy was given on Monday. It was nothing new, but more substance on what the government has done and where they want to move to. Even controversially, reassessing their relationship with the European Convention on Human Rights (ECHR).
The biggest update though, was on their one-in-one-out policy agreement with France, which will now set to start returns later this month.
It’s finally hit home for the government that the public want proof not just rhetoric, and they want to know crucially when they will start to see change.
But the fightback, the reset, whatever the government wants to call it, will only make a difference once that finally starts to work.